Well-being Of Residents Research Articles

Psychological status of residents at the onset of nationwide COVID-19 lockdown in low- and medium-risk areas of China.

The coronavirus disease 2019 (COVID-19), a dual threat to public physical and mental health, prompted an investigation into the psychological well-being of residents in low- to medium-risk areas of China during the initial stages of the pandemic. We administered WeChat-based questionnaire surveys and employed chi-square tests and multiple logistic regression to analyze correlations between residents' age, gender, education, symptoms, COVID-19 close contact history, information sources, and anxiety, depression, and attitudes toward lockdown measures. We received 10,433 valid questionnaires, revealing 26% anxiety and 19.5% depression. Support for lockdown measures reached 98.2%. Factors such as female gender, self-diagnosed pneumonia symptoms, close contact history, and higher education levels increased anxiety risk. Having a doctorate posed a severe anxiety risk, at 4.5 times (P = .019, 95% CI 1.29-15.73). Older age acted as a protective factor, reducing severe anxiety risk to 0.98 and 0.22 times (P < .001, 95% CI 0.14-0.34). Females with a master degree or below and those receiving COVID-19 information from multiple channels faced higher depression risk. Pneumonia symptoms were a risk for all anxiety and depression degrees. Attitudes toward lockdown measures had no significant impact on psychological status, nor did any of the analyzed factors affect residents' overall attitude toward lockdown. Our findings underscore the need for increased psychological counseling, particularly for young females with lower educational backgrounds or self-suspected infection symptoms, to mitigate mild to moderate anxiety and depression in future epidemics or pandemics. The public, especially those of working age with doctorates or higher education, bears the highest risk of severe anxiety. Lockdown measures enjoy strong support in low- to medium-risk areas of China.

Exploring the Psychological Well-Being of Tourism Community Members Through the Lens of Self-Determination Theory: A Case Study of Queenstown, New Zealand

Despite a substantial history of research on the well-being of host communities at tourism destinations, the individual psychological well-being of local residents remains an underexplored topic. This study explores the psychological well-being of tourism host community members through a case study of Queenstown, New Zealand. By drawing on the self-determination theory, an innovative focus group analysis approach, microinterlocutor analysis, complemented by thematic analysis, was used to explain the psychological well-being of individual host community members in a nature-based tourism destination. Findings revealed a sense of autonomy, relatedness to people and the natural environment, feelings of competence or mastery, and beneficence-supported psychological well-being. This study extends prior research on the well-being of host communities by identifying key psychological well-being domains explicitly related to host community members. Practical implications of the findings are highlighted with reference to nature-based destinations.

A Pilot Study in Fatigue Risk Management Among Obstetrics and Gynaecology Residents at the University of Alberta

ObjectivesCombatting fatigue is an ongoing challenge in surgical residency programs impacting both patient care and resident well-being. There is a gap in understanding the nuances of fatigue perpetuation, especially where it relates to specific on-call duties. This pilot study seeks to explore the extent of sleep deprivation among Obstetrics and Gynecology (OBGYN) residents and identify obstacles to obtaining adequate rest. MethodsA survey was sent out to all OBGYN residents at the University of Alberta, collecting demographic and baseline sleep information and assessing perceived barriers to sleep. Residents then self-selected for participation in the second portion which involved recording all pages in a 12-hour shift and assigning an acuity rating to them. Mixed methods were used including thematic analysis of the page acuity survey and descriptive statistics for the primary survey. ResultsIn total, 21 residents completed the initial survey (67.7%) and 17 12-hour shifts were recorded. While junior residents (postgraduate year 1–2) and those carrying the low-risk pager slept less on call and had less sleep on days without call, barriers to sleep were not different when compared to senior residents and those carrying the high-risk pager. While low-risk and high-risk shifts had different primary contributors to fatigue (volume and acuity, respectively) both groups attributed fatigue to non-urgent pages. On review of pages, 49.4% were perceived as non-urgent. A total of 81% of residents supported the development of problem boards to reduce the number of non-urgent pages. ConclusionsThis pilot study demonstrated residents, regardless of seniority or shift, found non-urgent pages to be a significant contributor to on-call fatigue and supported the use of problem boards to reduce pages. Our approach can provide a framework for other institutions to learn more about resident fatigue and non-urgent paging in their program.

Impact of India-China Border Conflicts on the Changpas of Eastern Ladakh

The national security of a country is closely tied to the welfare of its border residents. The unsettled boundary dispute between India and China in Eastern Ladakh has far-reaching consequences for the well-being of the border residents in Ladakh. This analysis seeks to comprehend how this geopolitical disagreement has impacted the socio-cultural and economic activities. The research methodology incorporated includes data from books, journals, internet sources, and field interviews related to the subject. The findings of this study indicate that the socio-economic conditions of the border residents have been adversely affected by the ongoing boundary conflict between the two nations.

Interface Between Motivational Interviewing and Burnout.

The contemporary challenges of improving patient engagement in chronic disease management and addressing the growing problem of physician burnout are commonly viewed as separate issues. However, there is extensive evidence that person-centered approaches to patient engagement, such as motivational interviewing (MI), are associated both with better outcomes for patients and improved well-being for clinicians. We conducted an exploratory survey study to ascertain whether resident physicians who perceive that they embrace and utilize the MI approach also report less burnout. A total of 318 residents in several specialties were invited via email to complete a 10-question survey about patient engagement and the experience of burnout. Frequencies and percentages were calculated for all categorical/ordinal variables to describe survey participants and question responses. Correlation coefficients were obtained to assess relationships between all burnout and engagement questions. A total of 79 residents completed the survey (response rate of 24.8%). There was broad agreement about the importance of patient engagement and the use of the MI approach, and approximately 60% of residents indicated that burnout was a problem. Two items related to residents' perceived use of MI were correlated with feeling a sense of personal accomplishment, one of the protective factors against burnout. Consistent with other studies indicating that person-centered approaches are associated both with better patient outcomes and provider wellbeing, our data suggest that residents' self-reported use of the MI approach in patient care may be related to less burnout. It appears that training in the MI approach in graduate medical education may be simultaneously good for patient outcomes and good for resident well-being.

Dynamical Identification of Urban-Rural Gradient and Ecosystem Service Response: A Case Study of Jinghong City, China

Understanding ecosystem service characteristics along urban-rural gradients is vital for enhancing the well-being of urban and rural residents. Despite this importance, prior research has neglected the dynamic evolution of urban-rural gradients during urbanization. This study investigates the spatiotemporal variations of four ecosystem services—habitat quality, carbon sequestration, water yield, and soil retention—along the urban-rural gradient in Jinghong City, China. We propose a method for identifying the gradient using the inverse S function of urban land density distribution and concentric analysis. From 2000 to 2020, ecosystem service supply capacity in Jinghong City continuously declined, indicating degradation over the two decades. The urban-rural gradient zone is classified as core area, inner urban area, suburban area, and urban periphery, each experiencing outward expansion, reflecting significant urbanization. Changes in ecosystem services along the gradient revealed consistently high losses in habitat quality, carbon sequestration, and overall services in the inner urban area, while water yield and soil retention suffered the greatest losses in the urban periphery. As urbanization expanded outward, the loss of these services shifted from the inner urban area to the suburban and urban periphery. These results support decision-making in urban planning and sustainable development for urban-rural regions.

Urban green spaces and their impact on environmental health: A Global Review

Urbanization has become an irreversible global phenomenon, with a majority of the world's population residing in cities. As urban areas expand, the significance of incorporating green spaces into these landscapes is paramount for environmental health. This study provides a concise overview of a global review that explores the multifaceted impact of urban green spaces on sustainability, well-being, and ecological balance. Urban green spaces play a crucial role in biodiversity preservation, acting as vital habitats for diverse plant and animal species. These spaces contribute to the maintenance of urban ecosystems, fostering ecological balance in densely populated areas. The presence of varied flora and fauna supports environmental health by enhancing biodiversity and promoting a more sustainable urban environment. One of the significant contributions of urban green spaces is their role in improving air quality. Through the natural process of photosynthesis, plants absorb pollutants and release oxygen, serving as an effective filtration system. Trees, in particular, act as natural air purifiers, reducing the concentration of airborne particles and pollutants. This contributes to enhanced air quality, mitigating the adverse effects of urban pollution on environmental health. Urban green spaces also play a pivotal role in temperature regulation, combating the phenomenon of urban heat islands. By providing shade and reducing surface temperatures, greenery helps create a cooler and more comfortable urban living environment. This temperature regulation not only contributes to the well-being of residents but also addresses the challenges posed by rising temperatures in urban areas. Beyond environmental considerations, access to urban green spaces has profound effects on the mental and physical well-being of urban dwellers. These spaces serve as outlets for recreation, exercise, and relaxation, contributing to stress reduction and improved mental health. Additionally, urban green spaces act as hubs for social interaction and community engagement, fostering a sense of belonging and strengthening social cohesion. In conclusion, this global review emphasizes the pivotal role of urban green spaces in promoting environmental health through biodiversity preservation, air quality improvement, temperature regulation, and enhancing overall well-being. Recognizing the multifaceted benefits of these spaces is crucial for guiding sustainable urban development practices worldwide.

Reimagining Block Scheduling to Address Resident Well-Being

Reimagining Block Scheduling to Address Resident Well-Being

Do Women and Minority Orthopaedic Residents Report Experiencing Worse Well-being and More Mistreatment Than Their Peers?

Do Women and Minority Orthopaedic Residents Report Experiencing Worse Well-being and More Mistreatment Than Their Peers?

The Association Between Well-Being and Empathy in Medical Residents: A Cross-Sectional Survey.

Objective: To evaluate the extent to which personal well-being may be associated with empathy, while controlling for potential confounders. Settings/Location: Residency programs throughout the United States. Subjects: A total of 407 medical residents from residencies including general medicine, surgery, specialized and diagnostic medicine participated in this study. Outcome Measures: Well-being was measured using the modified existential well-being subscale of the spiritual well-being scale. Empathy was measured using the Jefferson Scale of Empathy. Results: Well-being was found to be positively correlated with empathy when adjusted for possible confounders (p < 0.001). In addition to well-being, other factors noted to be statistically significant contributors to higher empathy scores while controlling for the others included age, gender, year in residency, specialty, and work-hours (p < 0.05 for each). After controlling for these factors, a resident's year in residency was not found to be a statistically significant contributor to empathy score. Conclusions: In this study, well-being was associated with empathy in medical and surgical residents. Empathy is a fundamental component of physician competency, and its development is an essential aspect of medical training. These findings suggest that efforts to increase well-being may promote empathy among medical residents.

Social impact of destruction of urban forests in Ukraine and considerations for their future reconstruction

Urban trees and greenspaces are often damaged in military conflicts. This study examines the current extent of damage caused by war to urban trees and greenspaces in Ukraine, focusing on the consequences to the well-being of residents, and providing considerations for urban forest reconstruction. Urban trees produce a variety of benefits, including habitat for wildlife, reduction of energy use, improvement in physical and mental health of citizens, and an increased sense of community. Past research has shown the association of city trees with (a) lower incidence of under-weight newborns, (b) lower rates of death from cardiovascular disease, (c) reduced deaths during excessive heat events, and (d) improved psychological health. We estimate war-caused changes to urban green space in Ukraine using satellite-based indicators. Within seven cities in eastern Ukraine nearly destroyed by spring 2022, at least 13% of areas predominantly vegetated in 2021 had declined in greenness by 20% or more by the summers of 2022 and 2023. Finally, we briefly summarize five factors that should be considered when reconstruction of war-damaged urban forests and greenspaces is attempted. These include (1) the residents’ desire to have their original environment restored; (2) the unavailability of nursery stock for replanting immediately after the war; (3) the impacts of bombing on soil; (4) the importance of engaging local residents in replanting efforts; and (5) the psychological value of saving some damaged trees as survivors of the war.

We need a radical change to take place now´–The potential of integrated healthcare for rural long-term care facilities

This study explores healthcare professionals' perceptions in rural German long-term care facilities, focusing on integrated health systems. The aim is to understand experiences, challenges, and preferences. Twenty nurses and paramedics participated in in-depth interviews. Thematic analysis was applied to transcripts, revealing key themes: acute healthcare provision, interdisciplinary collaboration, telemedicine use, and preferences for the future healthcare landscape. Themes highlighted factors influencing acute care situations and the crucial role of interdisciplinary collaboration. Integrated care was infrequently encountered despite high demand in rural long-term care facilities. Though uncommon, integrated healthcare remains crucial in addressing long-term care facility residents' complex needs. Healthcare professionals express a strong demand for integrated care in rural areas, citing potential benefits for resident wellbeing, healthcare effectiveness, and job satisfaction. The findings guide healthcare organizations in developing institutional-level strategies for integrated care integration, emphasizing its importance in rural settings.

Cooling effects in urban communities: Parsing green spaces and building shadows

The thermal environment in urban communities significantly impacts the comfort and well-being of residents. Reducing the surface temperature in these areas is critical for improving the quality of life of residents and mitigating the urban heat island effect. Various factors, including buildings, roads, and green spaces, can influence the cooling effects in community areas. However, there is currently a lack of research focusing on examining the relationship between the surface temperature and community characteristics in urban settings. In this paper, using highly urbanized Beijing as an example, 1-m spatial resolution imagery (GaoFen-2) was used to extract 241 communities with different vegetation and building characteristics. High-resolution surface temperature data, calculated using the Google Earth Engine (GEE), facilitated the investigation of the cooling efficiency of surfaces in communities. We then evaluated the contributions of the green space ratio, building shadows, and green space pattern to the surface temperature. This study revealed the following: (1) an inverse nonlinear relationship was found between the green space ratio and surface temperature. The cooling efficiency decreased by 2/3 when the green space ratio exceeded 0.43–0.46. (2) The proportions of green spaces and building shadows were the primary drivers of cooling, accounting for more than 85% of the overall cooling effect. (3) In communities with high-rise buildings, the cooling effect of building shadows was greater than that of vegetation patterns. This study could provide a reference for renovating existing communities and planning green spaces in newly developed urban areas.

Including personal boundaries scale: development and psychometric properties of a measurement for nurses' self-efficacy toward intimate and sexual behavior in dementia care.

Person-centered nursing home care recognizes the intimate and sexual needs of residents with dementia but lacks guidance for nurses to address them while effectively respecting their personal boundaries. The Including Personal Boundaries (IPB) scale was developed to complement clinical and scientific efforts to support both nurse and resident wellbeing. Through a co-creative process, theoretical principles, day-to-day experiences, and expert knowledge were integrated into an initial nineteen-item version of the IPB scale. The pilot sample comprised 297 Dutch (vocational) nurses in dementia nursing care. After Principal Component Analysis, nine items with strong factor loadings (>0.6) were retained. Internal reliability measures supported the item selection, such as high internal consistency (α = 0.866) and adequate corrected item-total correlations (0.532-0.781). The presented IPB scale, a nine-item scale, is a short, robust measure to assess nurses' self-efficacy in their capabilities to include personal boundaries (physical and emotional) when confronted with the intimate and sexual behaviors of residents with dementia. Further validation is recommended. The IPB scale could provide valuable insights for research, clinical practice, and education.

ANALYSIS OF THE DEGREE OF STUDY AND GLOBAL EXPERIENCE IN OPTIMIZING URBAN NOISE POLLUTION

А collection and analysis of domestic and international publications on the impact of noise pollution on the physical and emotional well-being of mega-city residents were conducted. It was found that noise pollution directly affects the quality of life and the physical and mental health of people, leading to significant economic losses through medical expenses, deaths, and a decrease in the market value of real estate located near noise sources. Moreover, it was discovered that noise negatively influences not only the physical well-being of humans but also the behavior of urban animals and birds, compelling them to adapt their mating rituals and communication methods. While these behavioral changes help animals be more audible in noisy environments, they impact the reproductive success of certain species, potentially leading to their extinction and causing an ecological catastrophe. The study identified a global trend of lagging efforts to combat urban noise and solve problems only after their existence is acknowledged. The research explored the primary internationally recognized and widely used tools for reducing noise levels in urban environments, including methods within the field of landscape architecture: functional zoning of urban areas, construction of noise reduction screens (NRS), installation of noise-absorbing road surfaces, traffic restrictions, or speed limits, and the creation of green barriers, among others. Furthermore, the article outlined the main trends in the future development of improving sound comfort in cities, such as the establishment of "quiet zones" and the creation of unique soundscapes in contemporary mega-cities. Examples include the iconic sounds of Big Ben in London or the call to prayer from the Masjid al-Haram in Mecca, which provide emotionally rich experiences. In a broader sense, acoustic comfort should not be considered solely as the absence of noise but rather as a situation where acoustic environments offer significant opportunities for human development and careful consideration of their physical and mental well-being.

Urban aquifer health assessment and its management for sustainable water supply: an innovative approach using machine learning techniques

Water scarcity is a threat to resilient and sustainable cities as well as the resident population's well-being. This research represents a machine learning (ML) and geospatial data coupling along with groundwater sustainability management strategy (GSMS) components in a stepped methodological approach for urban, peri-urban aquifer sustainability management in Vizianagaram extended city limit in Southern India. Random forest (RF) and support vector machine (SVM) are two ML models in combination with geospatial data (hydrogeological and geo-environmental controlling factors) coupling predicted probable groundwater occurrence by categorizing different groundwater potential zones (GWPZ). The prediction accuracy determined by the area under the receiver operation curve (AUROC) demonstrated accuracy of >80 %, with the RF model being the highest at 88.40 %. Integration of GWPZ with policy and legislation, stakeholder involvement, sensitization, and linkage, along with strengths, weaknesses, opportunities, and threats (SWOT) analysis in the form of GSMS, can help policymakers, planners, and government authorities achieve sustainable measures near to reality and future adaptability.

EVALUATING THE WALKABILITY OF OLD TOWN IN SIBU, SARAWAK, MALAYSIA, THROUGH THE ASSESSMENT OF PEDESTRIAN WALKWAY QUALITY

Walkability is essential for healthy, sustainable cities and resident well-being. This study evaluates pedestrian walkway quality in Sibu town. In total, 21 streets, on-site observations, satellite maps, and photos were used to analyse connectivity, comfort, and safety data. Sibu's old town has average walkability, which may deter use. Our findings revealed average comfort and safety, but connectivity exceeds 82% walkable based on our scale of walkability developed in this study. Safety concerns plagued 20% of these streets being walkable. Although most pedestrian walkways were wide and clean, pavement quality, shading, and resting spots remained issues. Sibu's old town has a 65% walkability rating from our scale of study. These findings can help Sibu, Sarawak urban planners improve pedestrian walkway connectivity, comfort, and safety, improving walkability.

Investigating the Feasibility of Using a Wearable Device to Measure Physiologic Health Data in Emergency Nurses and Residents: Observational Cohort Study.

Emergency departments play a pivotal role in the US health care system, with high use rates and inherent stress placed on patients, patient care, and clinicians. The impact of the emergency department environment on the health and well-being of emergency residents and nurses can be seen in worsening rates of burnout and cardiovascular health. Research on clinician health has historically been completed outside of clinical areas and not personalized to the individual. The expansion of digital technology, specifically wearable devices, may enhance the ability to understand how health care environments impact clinicians. The primary objective of this pilot study was to assess the feasibility and acceptability of using wearable devices to measure and record physiologic data from emergency nurses and resident physicians. Understanding strategies that are accepted and used by clinicians is critical prior to launching larger investigations aimed at improving outcomes. This was a longitudinal pilot study conducted at an academic, urban, level 1 trauma center. A total of 20 participants, including emergency medicine resident physicians and nurses, were equipped with a wearable device (WHOOP band) and access to a mobile health platform for 6 weeks. Baseline surveys assessed burnout, mental health, and expectations of the device and experience. Participants provided open-ended feedback on the device and platform, contributing to the assessment of acceptance, adoption, and use of the wearable device. Secondary measures explored early signs and variations in heart rate variability, sleep, recovery, burnout, and mental health assessments. Of the 20 participants, 10 consistently used the wearable device. Feedback highlighted varying experiences with the device, with a preference for more common wearables like the Apple Watch or Fitbit. Resident physicians demonstrated higher engagement with the device and platform as compared with nurses. Baseline mental health assessments indicated mild anxiety and depressive symptoms among participants. The Professional Fulfillment Index revealed low professional fulfillment, moderate workplace exhaustion, and interpersonal disengagement. This pilot study underscores the potential of wearable devices in monitoring emergency clinicians' physiologic data but reveals challenges related to device preferences and engagement. The key takeaway is the necessity to optimize device and platform design for clinician use. Larger, randomized trials are recommended to further explore and refine strategies for leveraging wearable technology to support the well-being of the emergency workforce.

The Effects of Health Care Providers Night Shift on Cerebral Oxygen Saturation and its Relationship to Cognitive Function

Background: In-training physicians frequently experience acute periods of sleep deprivation due to the extended durations of on-call shifts. To safeguard the well-being of residents, ensure patient safety, and optimize their performance, it becomes imperative to thoroughly assess and evaluate the cerebral function of in-training physicians subsequent to their shifts. Objective: To elucidate the effects of the nightshifts on regional cerebral oxygen saturation (rScO₂) and cognitive function of 50 in-training pediatricians. Materials and Methods: The rScO₂ was monitored using Near-infrared spectroscopy at specific intervals, pre-on-call (H0), post-call (H16), 24-hours from pre-on-call (H24), and 48-hours from pre-on-call (H48). All physicians continued their duties without a post-call day. The mathematical tests were performed at H0, H16, H24, and H48, while the Montreal cognitive assessment (MoCA) test was conducted at H0 and H24. Results: The mean rScO₂ at post-call at 65.8±5.3% and 24-hours from pre-on-call at 64.6±6.4%, were significantly declined from pre-on-call at 68.2±5.6% (p&lt;0.001), and then returned to baseline at 48-hours from pre-on-call at 68.9±5.5%. The mathematical test scores were not different. The mean MoCA score was significantly decreased at 24-hours from pre-on-call at H0 with 28.4±1.4 to H24 with 27.7±1.8 (p&lt;0.001). Conclusion: The 16-hours nightshifts and continuous working among residents might cause a transient reduction of rScO₂, which could lead to decreased cognitive function scores. Understanding the effects of stress, fatigue, and sleep deprivation on the cognitive performance of medical residents not only benefits each individual resident, but also promotes a culture of continuous improvement and excellence in medical education. Keywords: Cerebral oxygen saturation; In-training physicians; Sleep deprivation; Work-hours; Cognitive function

Spatial Distribution, Source Analysis, and Health Risk Assessment of Heavy Metals in the Farmland of Tangwang Village, Huainan City, China

The impacts of heavy metal pollution in arable soil on agricultural production, environmental health, and the wellbeing of urban and rural residents cannot be overlooked. It has become a significant bottleneck in achieving comprehensive rural revitalization. To accurately grasp the characteristics of heavy metal pollution in suburban cultivated soil, Tangwang Village (a suburb of Huainan City) was subjected to scrutiny. The contents of heavy metals (Hg, Cu, Hg, As, Pb, Cr, Cd, and Zn) in the topsoil of cultivated land in this area were detected, and their spatial distribution characteristics were analyzed using inverse distance spatial interpolation. (1) After conducting a comprehensive analysis and thorough examination of the PMF model sources, it was determined that Cu, Cd, and Zn exhibit a direct correlation with agricultural practices, collectively contributing to a cumulative percentage of 21.10%. Meanwhile, Cr is derived from a combination of sources, including both natural parent materials and human activities, accounting for a total proportion of 24.45%. Notably, lead emissions from automobile exhausts constitute a significant source, while arsenic is primarily associated with dispersed factories and their respective operations, contributing to respective proportions of 36.38% and 18.07%. It is evident that agricultural practices, transportation, and industrial activities are the main reasons for heavy metal pollution in arable soil. (2) The evaluation of geological accumulation indicators reveals that the level of soil arsenic accumulation pollution is mild to moderate (1.199). On the other hand, the cumulative pollution level of Cd, Hg, Cr, and Cu was relatively low (0.462→0.186), whereas the levels of Pb and Zn were below the threshold. (3) The assessment of the ecological risk index revealed that the predominant elements posing potential ecological risks in the investigated region were Hg, As, and Cd, with average Ei values of E(Hg) = 86.81, E(As) = 80.67, and E(Cd) = 67.83, respectively. (4) The human health risk assessment revealed significant differences in the single non-carcinogenic risk values of heavy metals generated by different exposure pathways, with oral ingestion &gt; dermal contact &gt; oral nasal inhalation. Children were more susceptible to the toxic effects of heavy metals compared to adults. Both As and Cr caused an increased risk of cancer in both children and adults, which is a matter of great concern. The results of this study contribute to a more accurate description of the sources of heavy metals in farmland soil. This study indicates that the application of PMF for soil source analysis yields clear results that can be further applied. This research also has potential policy significance as it can help to improve the sustainability of ecosystems by coordinating both environmental and human activities.